Milieu Therapy

question 1 of 3 course: Nursing(Degree)

Q: The psychiatric nurse who is alert to both the physical and emotional needs of clients is working from the philosophical framework that states:

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Did You Know?

In schizophrenia, indifference toward the environment serves as a compensatory mechanism to overcome narcissistic behavior patterns. Narcissistic behavior in this context refers to an excessive self-focus and grandiose self-perception that can be overwhelming for the individual. When someone with schizophrenia experiences intense internal stimuli such as hallucinations, delusions, or disorganized thoughts, they may withdraw from external environmental stimuli as a way to manage the overwhelming internal experience. This indifference acts as a protective mechanism, allowing the person to focus inward and maintain some sense of control over their psychological state. The withdrawal from environmental engagement helps reduce external stimulation that might exacerbate their symptoms. This is different from guilt feelings, ambivalence, or general insecurity feelings, which are separate psychological phenomena. The narcissistic compensation specifically relates to the need to maintain psychological equilibrium when internal experiences become too intense or disorganized.

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